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自发性血气胸(primary spontaneous hemopneumothorax,PSHP)是一种无明显外伤或其他原因引起的胸腔积血并积气,发生率占自发性气胸1%~12%~([1]),临床上较为少见。除抗休克及止血治疗外,外科手术对于PSHP是必须的。随着胸腔镜技术的进步,很多胸部疾病的治疗进入微创化,胸腔镜在PSHP治疗中也有了较多的应用。近两年来,我科开展3 cm单孔胸腔镜治疗PSHP,取得较好的临床疗效。现总结如下。
Primary spontaneous hemopneumothorax (PSHP) is a kind of pleural hemorrhage and accumulative gas without obvious trauma or other causes, the incidence of spontaneous pneumothorax accounts for 1% ~ 12% ~ ([1]), clinically Rare. In addition to anti-shock and hemostatic treatment, surgery is necessary for PSHP. With advances in thoracoscopic techniques, many of the treatment of chest diseases into minimally invasive, thoracoscopy in the treatment of PSHP also has more applications. The past two years, our department to carry out 3 cm single hole thoracoscopic treatment of PSHP, and achieved better clinical efficacy. Now summarized as follows.